Unit 4 Flashcards
Define & describe Solitude
Alone time; time of inactivity; therapeutic to the older adult; include periods of solitude in the care plan
Define & describe Gratitude
Appreciative; sense of thankfulness & positivity; focus on what one has opposed to what they do not have
Define & describe Transcendence
A reality beyond oneself; makes sense of circumstances
Identifying/Acknowledging the importance of spirtuality for aging clients #1
Concept or philosophy of spirituality; comfort in knowing connection greater than self
Identifying/Acknowledging the importance of spirtuality for aging clients #2
All humans have spiritual needs; underutilized services; some may not realize they have a spiritual need
Describe Eriksons sense of integrity (final G&D task)
Life experiences have meaning & sense of purpose
Nurse role: Assessment of spiritual needs & how to support clients #1
Foster holistic care;
Faith beliefs & practices (Ask “is there anything or practice that can bring you comfort)
Nurse role: Assessment of spiritual needs & how to support clients #2
Affiliation with faith community;
are spiritual needs met?
Nurse role: Assisting in discovering meaning in challenging sitituations
express an open & nonjudgemental attitude
Nurse role: be familiar with steps to assist & facilitate religious practices or behaviors
Contact clergy for confession; allow pt to display religious articles & ensure safe care of these articles
Nurse role: noted spiritual distress
Red flags- depression, flat affect, crying (Offer help & honor clients wishes)
Praying with & for
Positive link between health &. healing & prayer; offer prayer, hold their hand(if nurse doesn’t feel comfortable find a coworker so they can pray for pt)
Performing a sexual health assessment on the aging client
Perform a sexual health assessment; ask permission to ask questions (increase knowledge, promote understanding)
Be familiar with medications that contribute to a lack of sexual interest & an example
-Prescribed medications
-otc’s
-herbal & alternatives
(ex antidepressants- decrease libido)
Be familiar with medical conditions that contribute to a lack of sexual interest & an example
Review medical health for health conditions that interfere with sexual function (Ex. diabetics- causes ED, diuretics- diminish sexual function
Hormone therapy for the menopausal woman
-Age @ the start of HRT altus risk, risk benefit ratio <60 yrs within 10 yrs of menopause , individualized treatment; based on age; time since menopause
Identifying barriers to sexual activities for the aging male #1
-unavailability of a partner(most older men are married, most older women are widowed)
Identifying barriers to sexual activities for the aging male #2
Psychological barriers
- fear of losing sexual abilities, concern about body image, relationship issues
-Key concept: many may suppress sexual needs rather than deal with stresses of establishing new relationships
Be familiar with how medications affect sexual activity (women)
Decreased level of estrogen, virginity, prolapsed, uterus, cystocele
Be familiar with how medications affect sexual activity (men)
Prostatisis, infections of genitalia, arterischolsis
Name some non-drug treatment modalities to prevent sexual activity barriers #2
Physical Health – Encourage exercise, good nutrition, and weight management.
Adaptations – Suggest positions, lubricants, or techniques for physical limitations.
Name some non-drug treatment modalities to prevent sexual activity barriers #3
Emotional Connection – Promote non-sexual intimacy like cuddling or massage.
Assistive Devices – Recommend aids (e.g., glasses, hearing aids) if needed.
Be familiar with how medications affect sexual activity (both sexes)
Cardiovasculor & respiratory disease, arthritis, diabetics, stroke & alcoholism
Impotence also known as
Erectile Dysfunction (ED)
Changes due to andropause
ED, Reduced libido, Breast enlargement, emotional/cognitive changes, osteopenia/osteoporosis(higher risk for chronic renal disease; type 2 diabetes)
Medication adverse effects (can affect potency, libido, orgasm & ejaculation)
-antianxiety/ bensodiazepines
-antidepressants
-antihistimines, antihypertensive, diuretics
Be familiar with how some medical conditions can affect sexual activity
Review how medications for these conditions (e.g., antihypertensives, antidepressants) might affect libido or sexual performance.
Name some non-drug treatment modalities to prevent sexual activity barriers #1
Education – Teach about normal aging changes and promote open communication.
Comfort – Create a private, relaxing environment.
Counseling – Address emotional concerns like anxiety or depression.
Define Frailty
condition where person has poor endurance and weakness
Define Disability
inability to perform activities normally
Define Rehabilitative care
Therapies developed by physicians and therapists focused on returning individuals to their previous level of function
Define Restorative care
care that assists people in maintaining or improving current level of function, avoiding decline & complications and achieving highest possible quality of life
Define ADLs
activities of daily living: toileting, feeding, dressing, grooming, bathing and ambulation
What is the main focus of care when dealing with the significance and prevalence of chronic conditions that lead to frailty & disability
saving lives, preserving quality of life, focus on function not dysfunction
what would the nurse emphasize & identify key concepts the lead to frailty & disability
to maximize self care capabilities, remind the client what they still have; continue to treat them as a responsible individual
identifying s/s of frailty (s/s)
s/s: poor endurance, fatigue, low activity levels, inactivity, reduced speed in ambulations, weak grip strength, heightened risk of adverse outcomes; slow recovery for infection (injury: psychosocial stresses; other stressors)
Describe the nurses role regarding & assessment of frailty
A review of body systems & s/s of frailtyment, interventions aiimed at postponing frailty & improving self care
Identify examples of nurse guided interventions to prevent or postpone fraitly
ex muscle strengthening excercises, correct weight loss, improved nutrition
Identify appropriate nursing actions of prevent frailty used as an effort to postpone frailty
Identify the priority goal of rehabilitative care
improvement of functional capacity, ensuring the return of previous level functioning, promotes sense of well-being
identify the key concepts of rehabilitative care
emphasize function rather than dysfunction; ex skilled rehab care involves physical, occupational & speech therapies; lack of financial reimbursement limits options for some individuals
Name 2 recommendations associated with range of motion
1) all joints should be put through full ROM at least once a day
2) most important is joint movement
identify signs that warrant stopping an exercise
-Resting heart rate ≥100 beats/min
-Exercise heart rate ≥35% above resting heart rate
-Increase/decrease in systolic blood pressure by 20 mm Hg
-Angina
-Dyspnea, pallor, cyanosis
-Dizziness, poor coordination
-Diaphoresis
-Acute confusion, restlessness
Define Hypoxia
condition in which the body’s tissues don’t receive enough oxygen
define UTI
a bacterial infection that occurs when bacteria enter the urinary tract and multiply
Identify recommendations regarding urinary catheter insertion
avoidance of urinary cath. if possible, foley insertion only when necessary. Increases risk for inection; uti
Describe useful measures to promote optimal functional independence- aseptic technique & infection control
Describe useful measures to promote optimal functional independence- aseptic technique & infection control
Be familiar with preoperative considerations - preoperative assessment & provide example #1
-Review of medications: Patient may not have informed health care provider of all medications, OTC, or herbal preparations—Always review meds
-Preoperative screening completed
Be familiar with preoperative considerations - preoperative assessment & provide example #2
-Provide appropriate padding if needed: Reduce post-op muscle & bone soreness
-Promote infection control: Reduce incidence nosocomial infections
-Ensure informed consent has been obtained
Describe factors responsible for the high risk of infection in older adults #1
Atypical presentation of symptoms: infection- any abrupt, unexplained change in physical or mental function
Describe factors responsible for the high risk of infection in older adults #2
Driven by age-related changes:
- altered antigen-antibody response
-Decreased respiratory activity; reduced ability to expel secretions from lungs
-Weaker bladder muscles:urinary retention; prostatic hypertrophy; increased alkalinity of vaginal secretions
-Increased fragility of the skin & mucous membrane
